MEDICARE: YOHANIA GARCIA RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	9561204	FL

General Provider Information

NPI Number	:	1366185662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOHANIA GARCIA RN

Provider Business Mailing Address
First Line	:	3472 SW 22ND TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3002
Country	:	US
Telephone Number	:	786-438-7668
Fax Number	:

Provider Business Practice Location Address
First Line	:	3472 SW 22ND TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3002
Country	:	US
Telephone Number	:	786-438-7668
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2022
Last Update Date	:	04/15/2022

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